Roundtable Discussion Questions – Day 1
1. What ideas about collaboration between community development and health did you hear
today that resonated with you most?
 Early Child Intervention/Youth/Family (12): Early child home visits; Safe schools, healthy
students – how Shelby is able to fund and implement what they see are their needs;
Common development and opportunity for inclusiveness for youth and afterschool;
Integrate health and safety messages with youth and child activities; Sustaining new
parent visits – early childhood outreach; Universal early childhood programs/early
access to babies and moms for early education; Early childhood development centers;
Fort Peck - Made a goal that is about the kids/focused; Managing stress and incorporate
exercise, especially positive for youth
 Collective Impact Model/Framework/Application (8): Engage with others; apply and
grow knowledge base; importance of partnerships; culture of collaboration; community
of support
 Livingston Food Resource Center (7): Creativity of services; keep asking questions;
training for jobs, food bank became community quarterback; developing a solution to a
need; concept of intersectionality
 Speaking/Learning the same language (7): Break down silos by having conversations;
Who needs to be at the table; Alarming lack of community development conversations
in field of public health; With a shared vision, anything is possible, especially with
personal actions empowering the community; Putting aside personal agenda, attending
another’s party
 Community Feedback (4): Community input – make community own idea; Community
driven – remember to ask
 Funding (4): Diversify funding; Partner - money and clinical on writing grants, other
materials; Health talking about finance; Creativity
 Leadership (5): Leadership is important; Taking risk of leadership; Leadership of local
government
 Community Quarterback (3): Need core community group
 Centralizing services/programs (2)
 Missoula Poverello Center (2): Combined services; On site housing centers and health
clinics
 Defining “health” (2): Healthy communities isn’t just healthcare
Other:
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The small healthcare world in MT works in our favor to get started and do something
quickly
New collaboration – focus on non-biometric, worksite wellness content experts
Where is demand? Consistent messaging public benefit programs
Healthy By Design – Food in Southside Billings – Community Impact
Data for specific county and reservation, lack of service
Accessing services – give people an opportunity to contribute in services
Paying a coordinator (Billings position paid) Heather
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Commerce of health
Impact of physical buildings from social change
Saddened that N.A feel so segregated and trapped
Nutrition importance
Examples illustrated willingness to think differently
Quality of programs
Training of staff- important reducing stress of participants and staff
Business skills needed by healthcare providers
Farmers market partnership with SNAP
Good examples of grass roots
Have to stop waiting for anyone else to fix out healthcare programs
Have to keep asking ourselves, “What is it that I don’t know?”
Stepping out of being so structured
So many opportunities for connecting and impacting; so many interested in working
together
Charter school
Mayor walking path
United way- connectives match maker
Not duplicate efforts
Adult mentorship programs
Health improvement = community development
Self-surfacing matrix
Discharge planning
Service navigation
Social determinants
Selling vs. buying
State and local awareness of need to connect to CD
CD locating services
Creating measurements that make sense for MT
What are the factors of “readiness” to dive into collaborative work for a community
Social impact bonds/pay for success model
2. What specific needs in your community could be addressed through collaboration between
community development and health? Any ideas for specific projects or other actions that could
meet those needs?
 Housing (12): Transit housing; Manufactured housing; Journey home; Wellness into
where people live; Housing – chronic inebriation – mental illness; Supportive housing;
Homelessness affect downtown business
 Transportation/Walkability (11): Sidewalks; Transportation planning – impact on
neighborhoods/health; Alternate transportation models, organize hierarchy of routes;
Multi model transit walkways; Public transportation continues to be a need; Poor bike
systems, connectivity, sidewalks etc.
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Early childhood/Youth/Family (9): Issues investment; Focus on kids/families; After school
programs; Child abuse; Team up mother and baby home visits with oral health info;
Improving youth education; Co-locating housing of childcare services; Parenting place
Food (8): Zoning food access; Food security; Food bank; Mobile grocery store (Food
Share, United Way); Access to healthy food downtown- our food bank is not very
accessible; Addressing senior citizen rural health nutritional needs
Partnerships (7): Coordination between overarching goals – centralized services; Take
information, share it; Specific needs - getting two worlds together; Awareness of
another’s work; Missoula Homeless Shelter/Poverello Center - partners with
partnership; Information share; Provide support for research
Mental Health (5): Community care teams; NAMI; Mental health issues and social
determinants to mental health issues – general practitioners deal with all issues
Aging Population (2): Addressing basic needs
Community Health Workers (2): More CHWs and CHCs
Public Safety Initiative (2): Injury prevention (intentional and unintentional)
Education (2): Education is the key; Culturally relevant
Built environment (2): Need liaison – public health
Other:
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How to organize for it
Nature
Best practices
Community-based counselors
Workforce development
Act with sense of urgency and look beyond lifetime
Know who players are, good models and success stories in MT
Helena – building needs – schools/jails/nonprofits
Developing trust at the top of the agenda
Dental/Oral Health – funding for students in Children – reduce future cost in Medicaid,
increase school attendance improved long term health
Explore social enterprise or social impact bonds
Mall repurpose – swimming pool, indoor soccer fields/basketball courts
Use non-profits/service agencies
Decreasing obesity, suicide rates, especially in rural communities
Marketing – how to reach the target audience
Develop the collective impact model
Access
Policy
Low income people don’t advocate self- can’t talk to media- be yourself
Make more workable- doesn’t encourage health- cant cross street sidewalks
A good intake form
Substance abuse inpatient for low income? Fatalities
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Current tobacco use by Native Americans- not being addressed very well
People/ kids having a sense of worth/ hope that they will find a place in their
community
Compassion fatigue – mind and body wellness
Build recreational center
Providing legal aid at CHC’s
Social isolation
Collaborative community needs assessment
3. What are some steps that community development and health professionals in your community
could take together now to build relationships and be more effective in their work?
 Data (12): Research; Data driven; Multi-dimensional collected cross sectors; Way to
convene and share; Data analysis and data share; Data party; Data sharing –obstacles;
Use evidence, be open to what evidence says; Look at your work (data) and work with
people who apply data; Coffee meetings
 Awareness/Community Involvement (12): Learn more about existing programs/services;
Make projects more well know across state; Share information in communities;
Community discussion and support; Awareness of resources; Preventing duplication of
work; Basic understanding of what others do; Learn what others do – get different
perspectives; Understand resources in each world and how they work - bring people
together; Make sure that new community development initiative have health in mind;
Collaborative community issue determination; Ask the people most affected
 Partnerships (9): Continue conversation; Collaboration partners; CHNA – great place to
start relationship building – Hospital and public health; Seek out the champions; Getting
the right people to the table; Keep this conversation going – expand to nonprofit assoc.
– community foundation involved in planning; Keeping local coalitions focused – bring
more coalitions together; “Train the trainers” to change dialogue to be more inclusive;
Better collaboration between community development and health sector in CHNA
 Funding (7): Resource and refund organizer – 211 directory; Financial resources and
correct grant language; Change the perspective on financing projects of value to the
community; Finding resources for a paid facilitator; Engage funders in conversation from
the start; Funding for small projects for staff is critical
 Strategic Planning (4): Strategic planning – including funders, government business –
pooling funding and resources (How to figure out who those are?) Accessible; Strategize
– gap analysis; Plan set goals; Determine one goal – then move it
Other:
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Social impact bond (pay for success)
Prototype – small investment – pilot- paralyzation on planning
Centralized services – one stop shop
Health impact study – (like environmental impact study)
What does a “healthy community” mean?
Health impact assessments – special training like an environmental assessment
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Collective impact – Pay for Success Model – Root cause
Community Assets Inventory – Community Capitals
Look at super utilizers of healthcare
Inclusive of stakeholders (IHS & tribal
MSU Extension agents, 4-H
State and Tribal Colleges
Pow-wow events
Workforce training, development, keeping them
Address root causes – more than symptoms, prevention is key
Structure systems/ integration mechanisms
More events like today’s conference- structured to bring different sectors together
Involve transportation orgs in conversation from start
Medicaid expansion for housing in MT
Project launch 0-8 year olds mental health consultants
Are there companies willing to employ people who have struggled?
Can we merge housing for mental health with local found resiliency/ micro enterprise
farm, and food is sold to diabetes patients or served in hospital
City health department convenes H.C. coalition- quad county
Tracking chronic disease portion (health improvement plan)
1st step is creating a shared vision
Be involved with our passions
Built consortium of landlords
Changing attitudes to doing more broader engagement
Start small
Success breeds success
Create a special session at industry and association trade events